Form 11	Notice of discontinuance of a protection order proceeding
Family Violence Act 2016
(see s 61)
Personal Violence Act 2016
(see s 56)

In the Magistrates Court of the Australian Capital Territory

FVO / PPO / WPO ......../........

............................................................................................................(full name)
Applicant
............................................................................................................(full name)
Respondent

I, ...............................................................................................................(full name) the applicant, discontinue the proceeding.

...................................................................	Dated: ______ /_____ /20______
(Signature of applicant or applicant’s solicitor)

............................................................................................................................
(Name of applicant or applicant’s solicitor)